KELLY SUSAN FORTNER (DPT) – Physical Therapist, NPI 1053552158
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA
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Provider Addresses for KELLY SUSAN FORTNER (DPT)
659, South Salisbury Boulevard, Camden, Salisbury, Wicomico County, Maryland, 21801, United States
STE 1B
SALISBURY, MD 218015458
Phone: (410) 831-3226
Fax: (410) 677-0883
Type: Mailing
2895, Hamilton Boulevard, Park Ridge, Allentown, Lehigh County, Pennsylvania, 18104, United States
SUITE 105
ALLENTOWN, PA 181046172
Phone: (610) 841-3555
Fax: (610) 841-3558
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170330000221 | I | Physical Therapist In Private Practice | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,963 | 234 | $0 |
| 97530 | Therapy procedure using functional activities | 1,013 | 215 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 510 | 78 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 376 | 127 | $0 |
| 90913 | Biofeedback training for bowel or bladder control, each additional 15 minutes | 300 | 69 | $0 |
Insurance plans in this area (ZIP 21801)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MD | |
| - | DE | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | DE | |
| Physical Therapist In Private Practice | MD | |
| - | MD | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | DE | |
| Physical Therapist In Private Practice | DE | |
| Physical Therapist In Private Practice | MD |
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